Argyle, Elaine

Chadborn, Neil

Coope, Jonathan

Dunk, Laura

Thomson, Louise

Name not available

Evaluation of the use of museum based resources for care home residents with dementia

Nottingham ePrints

Argyle, Elaine and Chadborn, Neil and Dunk, Laura and Coope, Jonathan and Thomson, Louise (2015) Evaluation of the use of museum based resources for care home residents with dementia. In: 21st International Network for Psychiatric Nursing Research Conference, 17-18 Sept 2015, Manchester, UK. Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/30962/1/Argyle_MemoryPlusEvaluation_A0.pdfCopyright and reuse: The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions.· Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners.· To the extent reasonable and practicable the material made available in Nottingham ePrints has been checked for eligibility before being made available.· Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way.· Quotations or similar reproductions must be sufficiently acknowledged.Please see our full end user licence at: http://eprints.nottingham.ac.uk/end_user_agreement.pdf A note on versions: The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher’s version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.ukEvaluation of museum-based resources for care home residents with dementia Elaine Argyle, Neil Chadborn, Laura Dunk, Jonathan Coope and Louise Thomson  ?DĞŵŽƌǇPlus ? ?ŝƐĂŶŝŶŶŽǀĂƚŝǀĞƌĞƐŽƵƌĐĞĚĞǀĞůŽƉĞĚďǇ>ĞŝĐĞƐƚĞƌƐŚŝƌĞŽƵŶƚǇCouncil .  It incorporates a training programme for care home staff and a series of ƚŚĞŵĞĚ ?ŵĞŵŽƌǇďŽǆĞƐ ?ĐŽŶƚĂŝŶŝŶŐŚŝƐƚŽƌŝĐĂůŽďũĞĐƚƐǁŚŝĐŚĂŝŵƚŽƉƌŽŵŽƚĞcognitive stimulation, reminiscence  and meaningful activity amongst care  home  residents with dementia.  The facilitated use of this resource  was evaluated using ĂŶŽďƐĞƌǀĂƚŝŽŶĂůŵĞƚŚŽĚĐĂůůĞĚ ?ĞŵĞŶƚŝĂĂƌĞDĂƉƉŝŶŐ ?in order to  assess its impact on residents with dementia . These observations took place over five sites , lasted for five  hours and incorporated 45 residents.  This data  was supplemented by semi-structured interviews with five care home staff in order to explore their attitudes and practices.  Overall  results are  summarised below. Overall Activity Profile (Dementia Care Mapping) Interacting with others 17%Being engaged but passively watching 16%Sleeping or dozing 16%Recreational activities 15%Reminiscence and life review 6%Disengaged or withdrawn  6%Direct engagement of the senses 5%Mobilising 5%Displaying attachment to inanimate objects 4%Eating or drinking 4%Expressive or creative activities 3%Receiving care 2%0 20 40 60Very distressed  -5Considerable signs of negative mood  -3Small signs of negative mood  -1Neutral +1Considerable positive mood  +3 Very high positive mood   +5Percentage of time Overall levels of mood and engagement  (Dementia Care Mapping) Quotes from semi-structured interviews with care home staff:  ? ? ? ?ǁĞŚĂǀĞƐƚƵĚĞŶƚƐĨƌŽŵŽǀĞƌƐĞĂƐ ? and it gives them a different look at it as well  ? ƐŽŵĞƚŚŝŶŐƚŚĞǇ ?ƌĞŶŽƚƵƐĞĚƚŽ ?ŶĚƐƚƵĚĞŶƚƐĚŽŶ ?ƚŶŽƌŵĂůůǇ ?ŐĞƚƚŽƐĞĞƚŚĞmore social side ? ?  ? ? ? ?ƚŚĞƌĞƐŝĚĞŶƚƐ ?ĨĂŵŝůŝĞƐŚĂǀĞƉŽŝŶƚĞĚŽƵƚŚŽǁŶŝĐĞŝƚwas to see the display and they were also bringing up memories which help them to interact with the resident ?  ? ?ǁĞŚĂĚƚŚĞƐƚĂƚƵĞŽĨƚŚĞƋƵĞĞŶŝŶƚŚĞĐŽƌŶĞƌ ?KŶĞŽĨŽƵƌƌĞƐŝĚĞŶƚƐ ?ŚĞǁŝůůŝŶƚĞƌĂĐƚ ?ďƵƚŽŶůǇŝĨŚĞ ?ƐĂƉƉƌŽĂĐŚĞĚ ?ďƵƚǁŝƚŚƚŚĞƋƵĞĞŶ ?ƐŚĞďĞĐĂŵĞƋƵŝƚĞĂfigure for him and he became quite attached, he interacted with her and he was beckoning her to come with him, and in the end he was taking her with him ƌŽƵŶĚƚŚĞŚŽƵƐĞ ? ? Conclusions Recent years have  seen the emergence  of many innovative interventions within mental health practice which are not limited to medical frameworks of understanding and encompass diverse ways of promoting health and well-being.  Such approach is reflected in this evaluation which indicates that, for a small investment, this  type of intervention has the potential to realise benefits on multiple levels. Contact  details: Elaine.Argyle@Nottingham.ac.uk and Neil.Chadborn@Nottingham.ac.uk  Findings It was found that the  use of  Memory Plus had an impact on three levels:   It promoted  the general well-being of residents .  It gave staff practical ways of promoting person centred care.  Changes in individual staff practice had the potential to permeate into the wider culture of the care home. Resident and staff responses to the sessions were  overwhelmingly positive and during the  observations, positive staff behaviour (enhancers) outnumbered  negative staff behaviour (detractors) by a ratio of  14:4.  There were, however, some  contextual barriers  to implementation, such as staff shortages. Photograph of one of the memory boxes on display in a care home 

Nottingham eTheses

Argyle, Elaine and Chadborn, Neil and Dunk, Laura and Coope, Jonathan and Thomson, Louise (2015) Evaluation of the use of museum based resources for care home residents with dementia. In: 21st International Network for Psychiatric Nursing Research Conference, 17-18 Sept 2015, Manchester, UK. Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/30962/1/Argyle_MemoryPlusEvaluation_A0.pdfCopyright and reuse: The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions.This article is made available under the University of Nottingham End User licence and may be reused according to the conditions of the licence.  For more details see: http://eprints.nottingham.ac.uk/end_user_agreement.pdfA note on versions: The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher’s version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.ukEvaluation of museum-based resources for care home residents with dementia Elaine Argyle, Neil Chadborn, Laura Dunk, Jonathan Coope and Louise Thomson  ?DĞŵŽƌǇPlus ? ?ŝƐĂŶŝŶŶŽǀĂƚŝǀĞƌĞƐŽƵƌĐĞĚĞǀĞůŽƉĞĚďǇ>ĞŝĐĞƐƚĞƌƐŚŝƌĞŽƵŶƚǇCouncil .  It incorporates a training programme for care home staff and a series of ƚŚĞŵĞĚ ?ŵĞŵŽƌǇďŽǆĞƐ ?ĐŽŶƚĂŝŶŝŶŐŚŝƐƚŽƌŝĐĂůŽďũĞĐƚƐǁŚŝĐŚĂŝŵƚŽƉƌŽŵŽƚĞcognitive stimulation, reminiscence  and meaningful activity amongst care  home  residents with dementia.  The facilitated use of this resource  was evaluated using ĂŶŽďƐĞƌǀĂƚŝŽŶĂůŵĞƚŚŽĚĐĂůůĞĚ ?ĞŵĞŶƚŝĂĂƌĞDĂƉƉŝŶŐ ?in order to  assess its impact on residents with dementia . These observations took place over five sites , lasted for five  hours and incorporated 45 residents.  This data  was supplemented by semi-structured interviews with five care home staff in order to explore their attitudes and practices.  Overall  results are  summarised below. Overall Activity Profile (Dementia Care Mapping) Interacting with others 17%Being engaged but passively watching 16%Sleeping or dozing 16%Recreational activities 15%Reminiscence and life review 6%Disengaged or withdrawn  6%Direct engagement of the senses 5%Mobilising 5%Displaying attachment to inanimate objects 4%Eating or drinking 4%Expressive or creative activities 3%Receiving care 2%0 20 40 60Very distressed  -5Considerable signs of negative mood  -3Small signs of negative mood  -1Neutral +1Considerable positive mood  +3 Very high positive mood   +5Percentage of time Overall levels of mood and engagement  (Dementia Care Mapping) Quotes from semi-structured interviews with care home staff:  ? ? ? ?ǁĞŚĂǀĞƐƚƵĚĞŶƚƐĨƌŽŵŽǀĞƌƐĞĂƐ ? and it gives them a different look at it as well  ? ƐŽŵĞƚŚŝŶŐƚŚĞǇ ?ƌĞŶŽƚƵƐĞĚƚŽ ?ŶĚƐƚƵĚĞŶƚƐĚŽŶ ?ƚŶŽƌŵĂůůǇ ?ŐĞƚƚŽƐĞĞƚŚĞmore social side ? ?  ? ? ? ?ƚŚĞƌĞƐŝĚĞŶƚƐ ?ĨĂŵŝůŝĞƐŚĂǀĞƉŽŝŶƚĞĚŽƵƚŚŽǁŶŝĐĞŝƚwas to see the display and they were also bringing up memories which help them to interact with the resident ?  ? ?ǁĞŚĂĚƚŚĞƐƚĂƚƵĞŽĨƚŚĞƋƵĞĞŶŝŶƚŚĞĐŽƌŶĞƌ ?KŶĞŽĨŽƵƌƌĞƐŝĚĞŶƚƐ ?ŚĞǁŝůůŝŶƚĞƌĂĐƚ ?ďƵƚŽŶůǇŝĨŚĞ ?ƐĂƉƉƌŽĂĐŚĞĚ ?ďƵƚǁŝƚŚƚŚĞƋƵĞĞŶ ?ƐŚĞďĞĐĂŵĞƋƵŝƚĞĂfigure for him and he became quite attached, he interacted with her and he was beckoning her to come with him, and in the end he was taking her with him ƌŽƵŶĚƚŚĞŚŽƵƐĞ ? ? Conclusions Recent years have  seen the emergence  of many innovative interventions within mental health practice which are not limited to medical frameworks of understanding and encompass diverse ways of promoting health and well-being.  Such approach is reflected in this evaluation which indicates that, for a small investment, this  type of intervention has the potential to realise benefits on multiple levels. Contact  details: Elaine.Argyle@Nottingham.ac.uk and Neil.Chadborn@Nottingham.ac.uk  Findings It was found that the  use of  Memory Plus had an impact on three levels:   It promoted  the general well-being of residents .  It gave staff practical ways of promoting person centred care.  Changes in individual staff practice had the potential to permeate into the wider culture of the care home. Resident and staff responses to the sessions were  overwhelmingly positive and during the  observations, positive staff behaviour (enhancers) outnumbered  negative staff behaviour (detractors) by a ratio of  14:4.  There were, however, some  contextual barriers  to implementation, such as staff shortages. Photograph of one of the memory boxes on display in a care home 

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Evaluation of the use of museum based resources for care home residents with dementia

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